摘要
目的探讨经尿道远端输尿管电切在肾盂输尿管癌根治术中的应用。方法先取截石住，经尿道置入电切镜，以针状电极将输尿管口膀胱壁环形电切至全层，电凝止血后拔出电切镜，留置气囊尿管，改侧卧住，取腰部切口，在肿瘤下方结扎输尿管，并沿榆尿管向膀胱钝性分离，将输尿管远端从切口拉出，常规游离切除肾脏。结果2003年5月-2007年5月采用该方法共完成8例肾孟输尿管癌根治术，手术均顺利，手术时间130—180min，平均160min，随访12～36个月，平均21个月，未见肿瘤复发。结论经尿道远端输尿管电切术，操作简单，出血少，容易掌握，创伤小，效果好，是肾孟输尿管癌根治术中处理远端输尿管行之有效的手术方法。
Objective To investigate the surgical technique of transurethral circumcision of the distal ureter in nephroureterectomy for the treatment of renal pelvic and ureter cancer. Methods Eight patients with renal pelvic and ureteral carcinoma were treated by radical nephroureterectomy combined with transurethral resection of the ureteric orifice from May 2003 to May 2007. Patients were placed in the lithotomy posifon frist, transurethral incision was done circumferentially around the ureteric orifice through the whole bladder wall, after all bleeding areas were fulgurated, a catheter was left in the bladder. Then patients were repositioned in the flankpositon, the kiney and whole ureter wereremoved conventionally through alumbarincision. Results The operation was successful inall 8 cases with a mean operation time of 160min（ 130 - 180min） ,there were no tunlor recurrence alter a mean follow-up of 21months （ 12 - 36months）. Conclusion Transurethral circumcision is a simple, effective method to deal with distal ureter in radical nepvhroureterectomy with less invasiveness and less bleeding for the treatment of renal pelvic and ureteral carcinoma.
出处
《四川医学》
CAS
2010年第2期220-221,共2页
Sichuan Medical Journal
关键词
经尿道输尿管远端电切
肾盂输尿管癌
transurethral circumcision of distal ureter
renal pelvic and ureter carcinoma
